Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Living Longer or Better – Patient’s Choice in Cardiac Surgery Is Gender-Dependent – a Multicenter Study

Britt Hofmann
,
Epp Rae
,
Ulrike Puvogel
,
Mihaela Spatarelu
,
Salah A. Mohamed
ORCID logo ,
Almoan Bungaran
,
Sebastian Arzt
,
Magdalena Laux
,
Johannes Maximillian Albes
,
Klaus Matschke
,
Richard Feyrer
,
Hans-Hinrich Sievers
,
Ivar Friedrich
,
Bernd Niemann
,
Rolf-Edgar Silber
,
Andreas Wienke
ORCID logo ,
Andreas Simm
* ORCID logo
Version 1 : Received: 7 August 2023 / Approved: 22 August 2023 / Online: 22 August 2023 (10:22:49 CEST)

A peer-reviewed article of this Preprint also exists.

Hofmann, B.; Rae, E.; Puvogel, U.; Spatarelu, M.; Mohamed, S.A.; Bungaran, A.; Arzt, S.; Laux, M.L.; Matschke, K.; Feyrer, R.; Sievers, H.-H.; Friedrich, I.; Niemann, B.; Silber, R.-E.; Wienke, A.; Simm, A. Living Longer or Better—Patient’s Choice in Cardiac Surgery Is Gender-Dependent—A Multicenter Study. J. Clin. Med. 2023, 12, 7596. Hofmann, B.; Rae, E.; Puvogel, U.; Spatarelu, M.; Mohamed, S.A.; Bungaran, A.; Arzt, S.; Laux, M.L.; Matschke, K.; Feyrer, R.; Sievers, H.-H.; Friedrich, I.; Niemann, B.; Silber, R.-E.; Wienke, A.; Simm, A. Living Longer or Better—Patient’s Choice in Cardiac Surgery Is Gender-Dependent—A Multicenter Study. J. Clin. Med. 2023, 12, 7596.

Abstract

In view of the increasing age of cardiac surgery patients, questions arise about the expected postoperative quality of life and the hoped-for prolonged life expectancy. Little is known so far about this weighting by the patients concerned. This study aims to obtain information on the patient’s preferences. Between 2015 and 2017, data from 1349 consecutive patients from seven heart centers in Germany undergoing cardiac surgery were analyzed. Baseline data regarding the patient’s situation as well as a questionnaire regrading quality of life versus lifespan were taken preoperatively. Patients were divided by age into 4 groups: below 60, 60-70, 70-80, and above 80 years. As a result, if one had to decide between quality of life and length of life, about 60% of the male patients decided for quality of life, independent of their age. On the other hand, female patient’s decision for quality of life increased significantly with age, from 51% in the group below sixty to 76% in the group above eighty years. This finding suggests that the female patients adapt their preferences with age whereas male patients do not. This should impact further treatment decisions of elderly patients in cardiac surgery within a shared decision-making process.

Keywords

patient’s preferences; quality of life; lifespan; gender

Subject

Medicine and Pharmacology, Cardiac and Cardiovascular Systems

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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